title: Laparoscopic transabdominal cervicoisthmic cerclage.
abstract: OBJECTIVE
  To report a laparoscopic technique for placement of a transabdominal cervicoisthmic cerclage.
  
  
  METHODS
  Detailed case report of one of three patients undergoing described procedure.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  A 39-year-old infertile patient with a history of cervical adenocarcinoma in situ and two cone biopsies, resulting in an essentially absent exocervix.
  
  
  METHODS
  Laparoscopic transabdominal cervicoisthmic cerclage placement, as an interval procedure, followed by ET of cryopreserved donor oocyte-derived embryos.
  
  
  METHODS
  Clinical outcome.
  
  
  RESULTS
  Establishment of a pregnancy delivered at 38 1/2 weeks of gestation by elective cesarean section.
  
  
  CONCLUSIONS
  Patients believed to require a transabdominal cerclage may undergo a laparoscopic interval procedure, obviating the need for a laparotomy before or during pregnancy.
authors.affiliation: Department of Obstetrics and Gynecology, University of Rochester, New York 14642, USA.
authors.forename: J J
authors.initials: JJ
authors.lastname: Scibetta
authors.forename: S R
authors.initials: SR
authors.lastname: Sanko
authors.forename: W R
authors.initials: WR
authors.lastname: Phipps
mesh_terms: D000328:Adult; D002584:Cervix Uteri / Q000601:surgery*; D004624:Embryo Transfer; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D011256:Pregnancy Outcome; D013536:Suture Techniques; D002577:Uterine Cervical Diseases / Q000601:surgery*